Skills that tend to degrade
• Assessment
- The most important tool we have in pediatrics is our initial impression and primary assessment
- If the child looks sick, they probably are
- If we see very few sick children, we may not recognize one when we see one
• Practice
- Make a routine of using the pediatric assessment triangle on all pediatric patients
* Note general appearance
* Work of breathing
* Skin color on normal children
- If you practice assessing stable children, and you then see a child that is abnormal in any of the above categories, you are much more likely to notice
